Evidence map›Paper›PMID 40538032›Full record

ArticleDisaster medicine and public health preparedness2025

Development of Evidence-based Guidelines on Assessment and Management of Internal Contamination with Transuranic Actinides.

Chunsheng Li, Zhanat Kenbayeva, Nicholas Dainiak, Juan José Yepes-Nuñez, Hajo Zeeb, Sehajpreet Gill, Makoto Akashi, Arlene Alves, Arthur Chang, Andrea DiCarlo and 12 more

Abstract read
In one paragraph

Article in Disaster medicine and public health preparedness, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Radiomitigators: Breakthroughs in Post-Radiation Recovery.Antioxidants (Basel, Switzerland) · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Chunsheng Lihttps://ror.org/05p8nb362Health Canada, Ottawa, Canada.
Zhanat KenbayevaWorld Health Organization, Geneva, Switzerland.
Nicholas DainiakYale University School of Medicine, New Haven, CT, USA.
Juan José Yepes-NuñezSchool of Medicine, https://ror.org/02mhbdp94Universidad de los Andes, BogotáD.C., Colombia.ORCID 0000-0002-9912-0031
Hajo ZeebLeibniz Institute for Prevention Research and Epidemiology- BIPS, Bremen, Germany.ORCID 0000-0001-7509-242X
Sehajpreet GillLeibniz Institute for Prevention Research and Epidemiology- BIPS, Bremen, Germany.ORCID 0009-0000-5946-1563
Makoto Akashihttps://ror.org/05wvke928Tokyo Healthcare University, Tokyo, Japan.
Arlene AlvesInstituto de Radioproteção e Dosimetria, Rio de Janeiro, Brazil.
Arthur Changhttps://ror.org/01g63ab19Northside Hospital Gwinnett, Lawrenceville, GA, USA.ORCID 0000-0001-6206-9191
Andrea DiCarloNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD, USA.ORCID 0000-0001-8113-0015
Carol IddinsRadiation Emergency Assistance Center/Training Site, Oak Ridge, TN, USA.ORCID 0000-0002-7777-3760
Ziad Kazzihttps://ror.org/03czfpz43Emory University, Atlanta, GA, USA.
John Klumpphttps://ror.org/01e41cf67Los Alamos National Laboratory, Los Alamos, USA.
Kurihara OsamuThe National Radiological Sciences (QST-NIRS), Chiba, Japan.
Maria Antonia LopezCentro de Investigaciones Energéticas, Medioambientales y Tecnológicas, Madrid, Spain.ORCID 0000-0002-4565-8485
Guillaume PhanL'Institut de Radioprotection et de Sûreté Nucléaire, Fontenay-aux-Rose, France.
Matthias PortBundeswehr Institute of Radiobiology, Munich, Germany.
Anthony RiddellUK Health Security Agency, Didcot, UK.
Adela Salame-AlfieCenter for Disease Control and Prevention, Atalanta, GA, USA (retired).
Pramilla Sawanthttps://ror.org/05w6wfp17Bhabha Atomic Research Centre, Mumbai, India.
Hideo TatsuzakiThe National Radiological Sciences (QST-NIRS), Chiba, Japan.
Valentina VassilenkoNational Research Center for Radiation Medicine, Kyiv, Ukraine.

Funding

Intramural NIH HHS Z99 AI999999World Health Organization 001
6 · The paper itself

Abstract

objectivesTo describe the process of the development of evidence-based guidelines on the assessment and clinical management of internal contamination with transuranic actinides (specifically plutonium, americium, and curium) in incidents where workers, emergency responders, and the public might uptake these radionuclides internally through inhalation, ingestion, or wound contamination.

methodsThe World Health Organization (WHO) set up a guidelines development group (GDG) that follows the protocol required for producing evidence-based recommendations as described elsewhere. The GRADE® approach was applied throughout the process, including developing research questions formulation, prioritization and rating the importance for the outcomes, assessing the certainty of the evidence, considering contextual factors, and making recommendations.

resultsThrough 3 working group meetings held 2023-2024, the GDG defined and rated patient-important health outcomes, and evidence gathered through systematic reviews and its certainty rating, working towards formulating the recommendations using an evidence-to-recommendation (EtR) framework.

conclusionsThe WHO protocol for developing health care management guidelines uses a transparent and robust evidence-based GRADE® approach. Once published, these guidelines will provide the first evidence-based recommendations for assessment and clinical management of internal contamination with transuranic actinides.

Indexed as

Actinoid Series ElementsGuidelines as TopicEvidence-Based MedicineHumansWorld Health OrganizationActinoid Series Elementsactinidesclinical guidelinescontamination assessmentGRADEradiation incidenttreatment

Identifiers

PMID40538032
PMCPMC12915525

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.